Name: Ultrason Eşliğinde Lomber Nöraksiyel Anestezi için Spinal Sonografi (Video) | JoVE Journal
Uploaded: 2025-01-31T12:10:00.000+00:00
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Description: Öğrenin, ultrason eşliğinde lomber nöraksiyel anestezi için spinal sonografi kullanarak epidural kateter yerleştirme verimliliğini artırın. Bu yöntem iğne deneme sayısını azaltır ve hasta memnuniyetini iyileştirir.

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<meta charset="utf8"></head><body>Kompleks omurga anatomisi için ultrason eşliğinde nöraksiyel anestezi

<ol><li>Berger, A. A., Jordan, J., Li, Y., Kowalczyk, J. J., Hess, P. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Epidural+catheter+replacement+rates+with+dural+puncture+epidural+labor+analgesia+compared+with+epidural+analgesia+without+dural+puncture%3A+a+retrospective+cohort+study%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Epidural catheter replacement rates with dural puncture epidural labor analgesia compared with epidural analgesia without dural puncture: a retrospective cohort study.</a> Int J Obstet Anesth. 52, 103590(2022).</li>
<li>Guglielminotti, J., Landau, R., Li, G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Adverse+events+and+factors+associated+with+potentially+avoidable+use+of+general+anesthesia+in+cesarean+deliveries%5BTitle%5D)+AND+%22Anesthesiology%22%5BJournal%5D)">Adverse events and factors associated with potentially avoidable use of general anesthesia in cesarean deliveries.</a> Anesthesiology. 130, 912-922 (2020).</li>
<li>Guglielminotti, J., Li, G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Exposure+to+general+anesthesia+for+cesarean+delivery+and+odds+of+severe+postpartum+depression+requiring+hospitalization%5BTitle%5D)+AND+%22Anesth+Analg%22%5BJournal%5D)">Exposure to general anesthesia for cesarean delivery and odds of severe postpartum depression requiring hospitalization.</a> Anesth Analg. 131 (5), 1421-1429 (2020).</li>
<li>Booth, J. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Combined+spinal-epidural+technique+for+labor+analgesia+does+not+delay+recognition+of+epidural+catheter+failures%3A+A+single-center+retrospective+cohort+survival+analysis%5BTitle%5D)+AND+%22Anesthesiology%22%5BJournal%5D)">Combined spinal-epidural technique for labor analgesia does not delay recognition of epidural catheter failures: A single-center retrospective cohort survival analysis.</a> Anesthesiology. 125 (3), 516-524 (2016).</li>
<li>Groden, J., Gonzalez-Fiol, A., Aaronson, J., Sachs, A., Smiley, R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Catheter+failure+rates+and+time+course+with+epidural+versus+combined+spinal-epidural+analgesia+in+labor%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Catheter failure rates and time course with epidural versus combined spinal-epidural analgesia in labor.</a> Int J Obstet Anesth. 26 (C), 4-7 (2016).</li>
<li>Vallejo, M. C., Phelps, A. L., Singh, S., Orebaugh, S. L., Sah, N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+decreases+the+failed+labor+epidural+rate+in+resident+trainees%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Ultrasound decreases the failed labor epidural rate in resident trainees.</a> Int J Obstet Anesth. 19 (4), 373-378 (2010).</li>
<li>Zhang, Y., Peng, M., Wei, J., Huang, J., Ma, W., Li, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Comparison+of+ultrasound-guided+and+traditional+localization+in+intraspinal+anesthesia%3A+A+systematic+review+and+network+meta-analysis%5BTitle%5D)+AND+%22BMJ+Open%22%5BJournal%5D)">Comparison of ultrasound-guided and traditional localization in intraspinal anesthesia: A systematic review and network meta-analysis.</a> BMJ Open. 13 (11), e071253(2023).</li>
<li>Young, B., Onwochei, D., Desai, N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Conventional+landmark+palpation+vs.+preprocedural+ultrasound+for+neuraxial+analgesia+and+anesthesia+in+obstetrics+-+a+systematic+review+and+meta-analysis+with+trial+sequential+analyses%5BTitle%5D)+AND+%22Anaesthesia%22%5BJournal%5D)">Conventional landmark palpation vs. preprocedural ultrasound for neuraxial analgesia and anesthesia in obstetrics - a systematic review and meta-analysis with trial sequential analyses.</a> Anaesthesia. 76 (6), 818-831 (2021).</li>
<li>Perlas, A., Chaparro, L. E., Chin, K. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Lumbar+neuraxial+ultrasound+for+spinal+and+epidural+anesthesia%3A+A+systematic+review+and+meta-analysis%5BTitle%5D)+AND+%22Reg+Anesth+Pain+Med%22%5BJournal%5D)">Lumbar neuraxial ultrasound for spinal and epidural anesthesia: A systematic review and meta-analysis.</a> Reg Anesth Pain Med. 41 (2), 251-260 (2016).</li>
<li>Shaikh, F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+imaging+for+lumbar+punctures+and+epidural+catheterizations%3A+systematic+review+and+meta-analysis%5BTitle%5D)+AND+%22BMJ%22%5BJournal%5D)">Ultrasound imaging for lumbar punctures and epidural catheterizations: systematic review and meta-analysis.</a> BMJ. 346, f1720(2013).</li>
<li>de Carvalho, C. C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Efficacy+and+safety+of+ultrasound-guided+versus+landmark-guided+neuraxial+puncture%3A+A+systematic+review%2C+network+meta-analysis+and+trial+sequential+analysis+of+randomized+clinical+trials%5BTitle%5D)+AND+%22Reg+Anesth+Pain+Med%22%5BJournal%5D)">Efficacy and safety of ultrasound-guided versus landmark-guided neuraxial puncture: A systematic review, network meta-analysis and trial sequential analysis of randomized clinical trials.</a> Reg Anesth Pain Med. , (2024).</li>
<li>Kamimura, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Comparative+efficacy+of+ultrasound+guidance+or+conventional+anatomical+landmarks+for+neuraxial+puncture+in+adult+patients%3A+A+systematic+review+and+network+meta-analysis%5BTitle%5D)+AND+%22Br+J+Anaesth%22%5BJournal%5D)">Comparative efficacy of ultrasound guidance or conventional anatomical landmarks for neuraxial puncture in adult patients: A systematic review and network meta-analysis.</a> Br J Anaesth. 132 (5), 1097-1111 (2024).</li>
<li>Watson, M. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Could+ultrasonography+be+used+by+an+anesthetist+to+identify+a+specified+lumbar+interspace+before+spinal+anesthesia%5BTitle%5D)+AND+%22Br+J+Anaesth%22%5BJournal%5D)">Could ultrasonography be used by an anesthetist to identify a specified lumbar interspace before spinal anesthesia.</a> Br J Anaesth. 90 (4), 509-511 (2003).</li>
<li>Furness, G., Reilly, M. P., Kuchi, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((An+evaluation+of+ultrasound+imaging+for+identification+of+lumbar+intervertebral+level%5BTitle%5D)+AND+%22Anaesthesia%22%5BJournal%5D)">An evaluation of ultrasound imaging for identification of lumbar intervertebral level.</a> Anaesthesia. 57 (3), 277-280 (2002).</li>
<li>Chin, K. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+imaging+facilitates+spinal+anesthesia+in+adults+with+difficult+surface+anatomic+landmarks%5BTitle%5D)+AND+%22Anesthesiology%22%5BJournal%5D)">Ultrasound imaging facilitates spinal anesthesia in adults with difficult surface anatomic landmarks.</a> Anesthesiology. 115 (1), 94-101 (2011).</li>
<li>Li, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound-assisted+technology+versus+the+conventional+landmark+location+method+in+spinal+anesthesia+for+cesarean+delivery+in+obese+parturients%5BTitle%5D)+AND+%22Anesth+Analg%22%5BJournal%5D)">Ultrasound-assisted technology versus the conventional landmark location method in spinal anesthesia for cesarean delivery in obese parturients.</a> Anesth Analg. 129 (1), 155-161 (2018).</li>
<li>Arzola, C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Preprocedure+ultrasonography+before+initiating+a+neuraxial+anesthetic+procedure%5BTitle%5D)+AND+%22Anesth+Analg%22%5BJournal%5D)">Preprocedure ultrasonography before initiating a neuraxial anesthetic procedure.</a> Anesth Analg. 124 (3), 712-713 (2017).</li>
<li>Gambling, D. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Lumbar+ultrasound%3A+Useful+gadget+or+time-consuming+gimmick%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Lumbar ultrasound: Useful gadget or time-consuming gimmick.</a> Int J Obstet Anesth. 20 (4), 318-320 (2011).</li>
<li>Wong, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Barriers+to+learning+and+using+point-of-care+ultrasound%3A+a+survey+of+practicing+internists+in+six+North+American+institutions%5BTitle%5D)+AND+%22Ultrasound+J%22%5BJournal%5D)">Barriers to learning and using point-of-care ultrasound: a survey of practicing internists in six North American institutions.</a> Ultrasound J. 12 (1), 19(2020).</li>
<li>Chui, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Identifying+barriers+to+the+use+of+ultrasound+in+the+perioperative+period%3A+A+survey+of+southwestern+Ontario+anesthesiologists%5BTitle%5D)+AND+%22BMC+Health+Serv+Res%22%5BJournal%5D)">Identifying barriers to the use of ultrasound in the perioperative period: A survey of southwestern Ontario anesthesiologists.</a> BMC Health Serv Res. 19 (1), 214(2019).</li>
<li>Margarido, C. B., Arzola, C., Balki, M., Carvalho, J. C. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Anesthesiologists%27+learning+curves+for+ultrasound+assessment+of+the+lumbar+spine%5BTitle%5D)+AND+%22Can+J+Anesth%22%5BJournal%5D)">Anesthesiologists' learning curves for ultrasound assessment of the lumbar spine.</a> Can J Anesth. 57 (2), 120-126 (2010).</li>
<li>Corr, R. C., Kryc, J. J., Vaughan, R. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasonic+localization+of+the+lumbar+epidural+space%5BTitle%5D)+AND+%22Anesthesiology%22%5BJournal%5D)">Ultrasonic localization of the lumbar epidural space.</a> Anesthesiology. 52 (6), 513-515 (1980).</li>
<li>Lee, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+in+obstetric+anesthesia%5BTitle%5D)+AND+%22Semin+Perinatol%22%5BJournal%5D)">Ultrasound in obstetric anesthesia.</a> Semin Perinatol. 38 (6), 349-358 (2014).</li>
<li>Weiniger, C. F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+randomized+trial+to+investigate+needle+redirections%2Fre-insertions+using+a+handheld+ultrasound+device+versus+traditional+palpation+for+spinal+anesthesia+in+obese+women+undergoing+cesarean+delivery%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">A randomized trial to investigate needle redirections/re-insertions using a handheld ultrasound device versus traditional palpation for spinal anesthesia in obese women undergoing cesarean delivery.</a> Int J Obstet Anesth. 49, 103229(2021).</li>
<li>Carvalho, B., Seligman, K. M., Weiniger, C. F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((The+comparative+accuracy+of+a+handheld+and+console+ultrasound+device+for+neuraxial+depth+and+landmark+assessment%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">The comparative accuracy of a handheld and console ultrasound device for neuraxial depth and landmark assessment.</a> Int J Obstet Anesth. 39, 68-73 (2019).</li>
<li>Salimi, N., Aymen, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+image+quality+comparison+between+a+handheld+ultrasound+transducer+and+mid-range+ultrasound+machine%5BTitle%5D)+AND+%22POCUSJ%22%5BJournal%5D)">Ultrasound image quality comparison between a handheld ultrasound transducer and mid-range ultrasound machine.</a> POCUSJ. 7 (1), 154-159 (2022).</li>
<li>Sahin, T., Balaban, O., Sahin, L., Solak, M., Toker, K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+randomized+controlled+trial+of+preinsertion+ultrasound+guidance+for+spinal+anesthesia+in+pregnancy%3A+Outcomes+among+obese+and+lean+parturients%5BTitle%5D)+AND+%22J+Anesth%22%5BJournal%5D)">A randomized controlled trial of preinsertion ultrasound guidance for spinal anesthesia in pregnancy: Outcomes among obese and lean parturients.</a> J Anesth. 28 (3), 413-419 (2014).</li>
<li>Park, S. -K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound-assisted+versus+landmark-guided+spinal+anesthesia+in+patients+with+abnormal+spinal+anatomy%3A+A+randomized+controlled+trial%5BTitle%5D)+AND+%22Anesth+Analg%22%5BJournal%5D)">Ultrasound-assisted versus landmark-guided spinal anesthesia in patients with abnormal spinal anatomy: A randomized controlled trial.</a> Anesth Analg. 130 (3), 787-795 (2020).</li>
<li>Fiol, A. G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+prospective+cohort+study+to+evaluate+needle+passes+using+a+portable+ultrasound+device+versus+traditional+landmark+approach+for+epidural+anesthesia+in+a+busy+obstetric+tertiary+care+center%5BTitle%5D)+AND+%22POCUS+J%22%5BJournal%5D)">A prospective cohort study to evaluate needle passes using a portable ultrasound device versus traditional landmark approach for epidural anesthesia in a busy obstetric tertiary care center.</a> POCUS J. 8 (2), 153-158 (2023).</li>
<li>Arzola, C., Davies, S., Rofaeel, A., Carvalho, J. C. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+using+the+transverse+approach+to+the+lumbar+spine+provides+reliable+landmarks+for+labor+epidurals%5BTitle%5D)+AND+%22Anesth+Analg%22%5BJournal%5D)">Ultrasound using the transverse approach to the lumbar spine provides reliable landmarks for labor epidurals.</a> Anesth Analg. 104 (5), 1188-1192 (2007).</li>
<li>Carvalho, J. C. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound-facilitated+epidurals+and+spinals+in+obstetrics%5BTitle%5D)+AND+%22Anesthesiol+Clin%22%5BJournal%5D)">Ultrasound-facilitated epidurals and spinals in obstetrics.</a> Anesthesiol Clin. 26 (1), 145-158 (2008).</li>
<li>Sivakumar, R. K., Karmakar, M. K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Spinal+sonography+and+central+neuraxial+blocks%5BTitle%5D)+AND+%22Best+Pract+Res+Clin+Anaesthesiol%22%5BJournal%5D)">Spinal sonography and central neuraxial blocks.</a> Best Pract Res Clin Anaesthesiol. 37 (2), 209-242 (2023).</li>
<li>Sutton, D. N., Linter, S. P. K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Depth+of+extradural+space+and+dural+puncture%5BTitle%5D)+AND+%22Anaesthesia%22%5BJournal%5D)">Depth of extradural space and dural puncture.</a> Anaesthesia. 46 (2), 97-98 (1991).</li>
<li>Özhan, M. Ö, Çaparlar, C. Ö, Süzer, M. A., Eskin, M. B., Atik, B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Comparison+of+three+sitting+positions+for+combined+spinal+-+epidural+anesthesia%3A+a+multicenter+randomized+controlled+trial%5BTitle%5D)+AND+%22Braz+J+Anesthesiol.+%28English+Edition%29%22%5BJournal%5D)">Comparison of three sitting positions for combined spinal - epidural anesthesia: a multicenter randomized controlled trial.</a> Braz J Anesthesiol. (English Edition). 71 (2), 129-136 (2021).</li>
<li>Ansari, T., Yousef, A., Gamassy, A. E., Fayez, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound-guided+spinal+anesthesia+in+obstetrics%3A+Is+there+an+advantage+over+the+landmark+technique+in+patients+with+easily+palpable+spines%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Ultrasound-guided spinal anesthesia in obstetrics: Is there an advantage over the landmark technique in patients with easily palpable spines.</a> Int J Obstet Anesth. 23 (3), 213-216 (2014).</li>
<li>Tawfik, M. M., Atallah, M. M., Elkharboutly, W. S., Allakkany, N. S., Abdelkhalek, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Does+preprocedural+ultrasound+increase+the+first-pass+success+rate+of+epidural+catheterization+before+cesarean+delivery%26quest%3B+a+randomized+controlled+trial%5BTitle%5D)+AND+%22Anesth+Analg%22%5BJournal%5D)">Does preprocedural ultrasound increase the first-pass success rate of epidural catheterization before cesarean delivery&quest; a randomized controlled trial.</a> Anesth Analg. 124 (3), 851-856 (2017).</li>
<li>Singla, P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Feasibility+of+spinal+anesthesia+placement+using+automated+interpretation+of+lumbar+ultrasound+images%3A+a+prospective+randomized+controlled+trial%5BTitle%5D)+AND+%22J+Anesthe+Clin+Res%22%5BJournal%5D)">Feasibility of spinal anesthesia placement using automated interpretation of lumbar ultrasound images: a prospective randomized controlled trial.</a> J Anesthe Clin Res. 10 (2), 878(2019).</li>
<li>Arnolds, D., Hofer, J., Scavone, B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Inadvertent+neuraxial+block+placement+at+or+above+the+L1-L2+interspace+in+the+super-obese+parturient%3A+A+retrospective+study%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Inadvertent neuraxial block placement at or above the L1-L2 interspace in the super-obese parturient: A retrospective study.</a> Int J Obstet Anesth. 42, 20-25 (2019).</li>
<li>Creaney, M., Mullane, D., Casby, C., Tan, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Ultrasound+to+identify+the+lumbar+space+in+women+with+impalpable+bony+landmarks+presenting+for+elective+cesarean+delivery+under+spinal+anaesthesia%3A+A+randomised+trial%5BTitle%5D)+AND+%22Int+J+Obstet+Anesth%22%5BJournal%5D)">Ultrasound to identify the lumbar space in women with impalpable bony landmarks presenting for elective cesarean delivery under spinal anaesthesia: A randomised trial.</a> Int J Obstet Anesth. 28, 12-16 (2016).</li>
<li>Arzola, C., Mikhael, R., Margarido, C., Carvalho, J. C. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Spinal+ultrasound+versus+palpation+for+epidural+catheter+insertion+in+labor%5BTitle%5D)+AND+%22Eur+J+Anaesthesiol%22%5BJournal%5D)">Spinal ultrasound versus palpation for epidural catheter insertion in labor.</a> Eur J Anaesthesiol. 32 (7), 499-505 (2015).</li>
</ol>

<table><tbody><tr><td>ACCURO&nbsp;</td><td>Rivanna Medical</td><td>NA</td><td>El yazması boyunca otomatik cihaz</td></tr><tr><td>Butterfly iQ+&nbsp;</td> olarak tanımlanmıştır;<td>Butterfly Network</td><td>iQ+</td><td>El yazması boyunca elde taşınan cihaz olarak tanımlanmıştır</td></tr><tr><td>Geleneksel ultrason</td><td>Sonosite</td><td>SonositePX</td><td>Geleneksel bir ultrason cihazı kullanılıyorsa düşük frekanslı (2-5 MHZ) eğrisel bir prob seçin.</td></tr></tbody></table>

ultrason eşliğinde lomber nöraksiyel anestezi için spinal sonografi

Spinal Sonography for Ultrasound-Guided Lumbar Neuraxial Anesthesia

Bu araştırmadan elde edilen ana sonuçlar, görüntü kalitesi ve ultrason kılavuzluğunda nöraksiyel anestezi uygulamadaki yeterliliğe odaklanmıştır. BU'dan alınan görüntülerin kalitesi orta sınıf bir ultrason makinesinin kalitesiyle karşılaştırıldığında, birincisinin omurga anatomisi görüntüleri elde etmek için iyi bir alternatif olduğu belirlenmiştir26. Yeterlilik açısından, prospektif bir kohort analizinde, ilk girişim başarı oranı (cilt iğne delinme sayısı olarak tanımlanır), iğne geçiş sayısı (iğ...

Ultrason Eşliğinde Lomber Nöraksiyel Anestezi için Spinal Sonografi

Neuraxial anesthesia is one of the few remaining forms of regional anesthesia that relies on palpation and tactile feedback techniques to facilitate ...

spinal-sonography-for-ultrasound-guided-lumbar-neuraxial-anesthesia

Research

JoVE Journal

Medicine

Tıp

İntraganglionic enjeksiyon bel dorsal kök gangliyon (DRG) için erişim sağlar domuz laminotomy için bir yöntem açıklanmaktadır. Enjeksiyon ilerleme ameliyathanede ve histolojik olarak kadar ameliyat sonrası 21 güne doğruladı izlenir. Bu iletişim kuralı DRG enjeksiyon ile ilgili gelecekteki preklinik çalışmaları için kullanılabilir.

Lomber Dorsal kök gangliyon erişim ve domuz yerleştirmeye laminotomy

Burada bir roman dış-in teknik transforaminal endoskopik diskektomi lomber disk Hernilerinde için bir protokol mevcut. Teknik, geniş kullanım belirtileri ve 184 hastalarda tedavi sonuçlarının teknik yönleri ayrıntılı olarak açıklanmıştır.

Transforaminal lomber endoskopi lomber disk Hernilerinde için mobil dış-in tekniği

Burada, spinal cerrahide, özellikle intradural lezyonlarda ve posterior yaklaşım kullanıldığında ventral spinal kanaldaki lezyonlarda intraoperatif ultrason kullanımı ile ilgili bir protokol sunuyoruz.

Omurga Cerrahisinde İntraoperatif Ultrason

Biz bir protokol olan inaktive sadece gri rami communicantes ve sempatik bagajı seçmeli kimyasal Lomber sempatektomi (CLS), için mevcut. Seçici CLS vazodilatasyon terapötik etkinlik elde etmek, azaltma ter ve geleneksel CLS için karşılaştırılabilir kabartma ağrı yardımcı olabilir ve ciddi komplikasyonlara, özellikle ureteropelvic hasar, azaltılabilir.

Seçmeli kimyasal Lomber sempatektomi gri Rami Communicantes hedefleme

Burada O-kol navigasyonu altında lomber foraminal darlık ve lateral disk herniasyonu için C-kolsuz transtübüler posterolateral dekompresyonun yeni bir tekniği sunulmuştur.

L5-S1 lomber lateral disk herniasyonu için transtübüler endoskopik posterolateral dekompresyon

Bu protokol, dejeneratif lomber spinal stenozun tedavisi için bilateral dekompresyon için lomber endoskopik tek taraflı laminotominin adımlarını ve kilit noktalarını açıklamaktadır.

Lomber spinal stenoz için perkütan endoskopik unilateral yaklaşım bilateral dekompresyon

Bu protokol, lokal anestezi altında transforaminal tam endoskopik foraminotomi yapmak için adım adım bir kılavuz sağlar. Bu hareket koruyucu teknik, komşu segment hastalığı olan hastalarda L5/S1 foraminal stenozunun tedavisinde füzyon uzatmaya minimal invaziv bir cerrahi alternatif olarak sunulmaktadır.

L5/S1 Komşu Segment Foraminal Darlığı için Lokal Anestezi Altında Transforaminal Tam Endoskopik Lomber Foraminotomi

Biz, başarılı pozitif basınçlı havalandırma için ağız ve burun sızdırmazlık nazo-yutak Genizden takılı bir endotrakeal tüp kullanarak oksijenasyon ve ventilasyon korumak bir teknik açıklar.

Zor entübasyon ve zor Havalandırma için Roman Kurtarma Tekniği

Ekokardiyografi perkü- intramiyokardiyal enjeksiyon sıçangil kalp gen transfer ajanları veya hücre verilmesi için etkili, güvenilir ve hedeflenebilir yaklaşımı olmaktadır. Bu protokolde belirtilen adımları izleyerek, operatör hızla bu çok yönlü, minimal invaziv teknikle yetkin olabilir.

Farelerde ultrason eşliğinde transtorasik intramiyokardiyal Enjeksiyon

Substernal tiroid lezyonları yaygındır ve malignite ayırt edilmesi gerekir. Perkütan ince iğne biyopsisi nedeniyle Retrosternal yere mümkün değildir. Bu makale Endobronşiyal ultrason eşliğinde transbronşiyal Boßaltma (EBUS-TBİA) kullanılarak Substernal tiroid lezyonlarının biyopsi için bir protokol önermektedir.

Substernal Tiroid Biyopsi Endobronşiyal ultrason eşliğinde transbronşiyal Boßaltma kullanma

Öğrenin, ultrason eşliğinde lomber nöraksiyel anestezi için spinal sonografi kullanarak epidural kateter yerleştirme verimliliğini artırın. Bu yöntem iğne deneme sayısını azaltır ve hasta memnuniyetini iyileştirir.

Ultrason Eşliğinde Lomber Nöraksiyel Anestezi için Spinal Sonografi

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